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OFFSITE COUNSELING LLC NPI 1841636107


NPI Information

NPI: 1841636107
Provider Name: OFFSITE COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2901 DRUID PARK DR
A210
BALTIMORE, MD
ZIP 21215
Phone: (410) 467-6600
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OFFSITE COUNSELING LLC is a mental health counselor in Baltimore, MD. OFFSITE COUNSELING LLC NPI is 1841636107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2901 DRUID PARK DR
A210
BALTIMORE, MD
ZIP 21215-102
Phone: (410) 467-6600
Fax: (410) 225-9110

The provider's authorized official is Cedric Lemar Tucker .
The authorized official title is President and has the following contact phone number (410) 467-6600.

The enumeration date for this NPI number is 5/14/2013 and was last updated on 5/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLC4081MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1044509600MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.